Corrado, Gianmichel D

Corrado, Gianmichel D is an individual health care provider with primary practice located at 319 Longwood Ave 6Th Floor, Boston MA 02115-5728. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Corrado, Gianmichel D can be contacted via phone (617) 355-6028.

Contact Information

Primary practice address
319 Longwood Ave 6Th Floor Boston MA 02115-5728
Phone: (617) 355-6028
Fax: (617) 731-5298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207PS0010X 212795 Massachusetts

Profile Details

NPI number 1316020712
LBN Legal business name Corrado, Gianmichel D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Oct 30th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316020712 NPPES
Massachusetts MEDICAID 0196479

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